Geese, Franziska; Bryant-Lukosius, Denise; Zwakhalen, Sandra; Hahn, Sabine (2024). Advanced Practice Nurses and Their Roles in Swiss Cancer Care: A Cross-Sectional Study Seminars in Oncology Nursing, 40(3), p. 151626. Elsevier 10.1016/j.soncn.2024.151626
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Objectives: To examine the advanced practice nurse workforce in Swiss cancer care and how their roles are being implemented (eg, role structures, processes) to achieve optimal outcomes for patients and their families, care organizations, and the broader health care system. Methods: A cross-sectional study was conducted. The sample included master-prepared advanced practice nurses in cancer care, who completed an online questionnaire from December 2021 to January 2022. Thirtynine items assessed structures (eg, role characteristics, utilization), processes (eg, role activities, interventions), and perceived outcomes (eg, for patients, the health care system) of advanced practice nurses in Swiss cancer care. Data from closed questions were analyzed using descriptive statistics. Data from open-ended questions were organized and summarized into categories related to domains of advanced practice nursing and its reported frequency by the advanced practice nurses. Results: The participating advanced practice nurses (n = 53), worked in half of the 26 Swiss cantons. Interventions were identified within nine categories, of which most were targeted to patients and their families (n = 7), followed by health care professionals (n = 2). Perceived positive outcomes were patient symptom management, length of hospital stay, and health care costs. Participants felt less confident in cancer care (eg, autonomous practice) and reported 15 professional development needs (eg, medical interventions, teaching). Conclusions: This study provides a comprehensive examination of 53 advanced practice nurses, detailing the characteristics of their roles and utilization across various jurisdictions and health care settings. The results highlight the diverse dimensions of advanced practice nursing and its potential to enhance cancer services and outcomes in Switzerland. Opportunities for role development support and expansion are identified. Implications for Nursing Practice: More systematic health human resource planning is needed to expand the deployment of advanced practice nurses across jurisdictions, practice settings, and more diverse patient populations. Role development needs show the desire for specialized educational preparation in cancer care.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
School of Health Professions School of Health Professions > Nursing School of Health Professions > Nursing > Innovation in the Field of Health Care and Human Resources Development |
Name: |
Geese, Franziska; Bryant-Lukosius, Denise; Zwakhalen, Sandra and Hahn, Sabine  0000-0002-2697-2014 |
Subjects: |
R Medicine > RT Nursing |
ISSN: |
0749-2081 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Sabine Hahn |
Date Deposited: |
06 Aug 2024 15:14 |
Last Modified: |
06 Aug 2024 15:14 |
Publisher DOI: |
10.1016/j.soncn.2024.151626 |
Related URLs: |
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Uncontrolled Keywords: |
Neoplasm Oncology Advanced practice nursing Clinical nurse specialist Nurse practitioner Workforce issues Access to care |
ARBOR DOI: |
10.24451/arbor.22043 |
URI: |
https://arbor.bfh.ch/id/eprint/22043 |
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